Abstract
Severe peripheral vascular disease is a common disorder that frequently creates substantial morbidity in our aging population. A nonsurgical approach to the treatment of intermittent claudication, one of the chief manifestations of the disease, was widely expected after the introduction of percutaneous transluminal angioplasty about 20 years ago. The article by Tunis and associates in this issue of the Journal 1 explores the effect of angioplasty on the rate of surgical procedures for peripheral vascular disease. The study raises many important issues, among them the epidemiologic features of the disease, the therapeutic approaches available for those affected, and the appropriateness of . . .